Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Tan, MSCCC-SLP, CLC

Individual provider Specialist · NPI 1114485570

Samantha Tan, MSCCC-SLP, CLC is a Specialist in Camarillo, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

400 W Ventura Blvd Ste 150
Camarillo, CA 93010-9140
Phone: (805) 383-1497
Fax: (805) 383-1498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Specialist Taxonomy 174400000X

Record details

NPI number1114485570
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP , CLC
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Other providers in Camarillo